| 胃癌全胃切除术后二种消化道重建术式对比研究 |
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| 引用本文： | 王袁,;张琳娟,;梅娜,;吴越,;张佳,;李晓军.胃癌全胃切除术后二种消化道重建术式对比研究[J].中国煤炭工业医学杂志,2014(10):1634-1636. |
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| 作者姓名： | 王袁 ;张琳娟 ;梅娜 ;吴越 ;张佳 ;李晓军 |
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| 作者单位： | [1]西安交通大学第一附属医院手术部,陕西省西安市710061; [2]西安交通大学第一附属医院胸外二科,陕西省西安市710061 |
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| 摘 要： | 目的探讨胃癌全胃切除术后理想的消化道重建方式。方法对72例胃癌患者按全胃切除术后消化道重建方式的不同,分为空肠食管端侧吻合术（Ⅰ组）和改良功能性空肠间置代胃术（Ⅱ组）。比较二种术式患者术后并发症发生率及营养指标。结果Ⅱ组术后患者的营养状况均明显优于Ⅰ组,均P〈0.05;Ⅱ组术后并发症也明显少于Ⅰ组,均P〈0.05。结论全胃切除后改良功能性空肠间置代胃重建方式较空肠食管端侧吻合术为胃癌行全胃切除消化道重建较理想的术式,其更有利于患者的营养恢复及减少术后并发症发生率。
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| 关 键 词： | 胃肿瘤 全胃切除术 消化道重建 |
COMPARETIVE STUDY ON TWO TYPES OF DIGESTIVE RECONSTRUCTION AFTER Radical TOTAL GASTRECTOMY FOR GASTRIC CANCER |
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| Institution: | Wang Yuan , Zhang Linjuan , Mei Na , et al. (Surgical room, First Affiliated Hospital, Xi＇an Jiaotong University, Xi＇an 710061 , China) |
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| Abstract: | Objective To investigate the effect of rational digestive reconstruction after total gastrectomy for gastric cancer.Methods Two types of digestive reconstruction were performed after total gastrectomy in 72 cases with gastric carcinoma,included laparoscopic side-to-side esophagojejunal anastomosis（group I）and improved functional interposition with jejunal（group II）.The incidence of postoperative complications and nutritional status were compared.Results Compared to group I,group II had a better nutritional status（P〈0.05）.The incidence of postoperative complications in group II was less than group I（P〈0.05）.Conclusion Group II can be recommended as an adoptable method of digestive reconstruction after total gastrectomy for gastric carcinoma because of maintaining better nutritional status and less postoperative complications. |
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| Keywords: | Stomach neoplasms Total gastrectomy Digestive reconstruction |
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